| NPI | 1851529721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE OTERO President 970-460-0385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2021-02-02 |